Download or read book L ADOLESCENTE EN PREMIERE CONSULTATION DE CONTRACEPTION ORALE CHEZ LE GENERALISTE written by ISABELLE.. GEISSMANN-BANEGUES and published by . This book was released on 2000 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Vision des m decins g n ralistes de la place des m res lors de la consultation de premi re contraception de l adolescente written by Marie Quibel and published by . This book was released on 2015 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : La prise en charge de l'adolescente lors d'une première demande de contraception fait l'objet de recommandations. Différentes études ont montré que l'implication maternelle auprès de l'adolescente serait bénéfique pour l'observance et la moindre prise de risques sexuels. Objectif : Evaluer le ressenti et l'attitude du médecin généraliste (MG) face à la présence maternelle lors d'une demande de première contraception d'une adolescente accompagnée de sa mère. Méthode : Étude qualitative par entretiens semi-dirigés retranscrits et analysés par thèmes de 17 MG de juin 2015 à juillet 2015 (Loire, France). Résultats : La mère était fréquemment présente durant toute cette consultation, considérée usuelles par les MG. Selon eux, sa présence facilitait la collecte des antécédents familiaux et libérait la parole de l'adolescente. Certains s'isolaient avec l'adolescente pour recueillir des informations jugées confidentielles. Plusieurs profils maternels ont été établis qui influençaient le déroulement de la consultation. La pilule oestro-progestative était majoritairement prescrite avec le souci d'autonomisation, sauf pour quelques MG sous l'influence de divers jugements ou craintes liés au tabagisme, à l'âge et à la sexualité de l'adolescente. Lors de la mise en route d'une contraception, la majorité des MG parents s'informait sur la sexualité des adolescentes à l'opposé de leurs enfants. Conclusion : La prise en charge de l'adolescente nécessite une approche spécifique de la part du MG. Face à l'adolescente le MG devrait faire fi de ses aprioris et jugements, car il est le médecin de famille de chaque personne la composant. Pour gérer au mieux cette consultation, la formation relationnelle gagnerait à être renforcée afin que le choix contraceptif de l'adolescente soit mieux entendu.
Download or read book Prescription initiale d une contraception orale chez l adolescente en m decine g n rale written by Emilie Parmentier-Fontaine and published by . This book was released on 2012 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: La pilule est la méthode contraceptive médicale la plus répandue chez les jeunes femmes. Médecin de famille, le généraliste a une place de premier choix pour aborder la contraception avec l’adolescente. Comment procède-t-il? La réalisation d’une étude qualitative, à l’aide d’une enquête par 10 entretiens semi-dirigés de médecins généralistes de la Somme installés en libéral, a permis de comprendre leur démarche. La prescription initiale de contraception va au-delà des critères médicaux. Même si l’examen médical est une étape incontournable, le médecin fait face à des obstacles. Il doit s’adapter à une relation triangulaire avec la maman révélant un biais de confidentialité et du motif réel de la demande. Il doit orienter son discours selon l’âge de la personne, son contexte socio-culturel, sa motivation et sa rigueur. Le facteur économique est prépondérant mais le défaut de connaissance est aussi important. Il doit délivrer une information idéalement complète sur la contraception, la contraception d’urgence et les IST. Pas simple en pratique, la démarche éducative reste peu utilisée et le manque de temps est réel. Il doit tenter de rendre l’adolescente autonome dans ses choix pour l’amener vers une contraception adaptée à ses besoins. Les autres formes de contraception que la pilule restent peu abordées, les croyances biaisant leur utilisation. Les connaissances du médecin sont fondées sur son expérience professionnelle et son vécu personnel, la formation initiale étant manquante la plupart du temps. Il faut poursuivre les efforts de remboursement, d’information à grande échelle, d’information par le médecin et le développement des connaissances des médecins.
Download or read book La contraception des adolescentes written by Sandra Lartigue and published by . This book was released on 2008 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt: En France, nous constatons un paradoxe car la large diffusion de la contraception a permis une diminution des grossesses non désirées, mais sans diminuer le nombre d'IVG qui a même tendance à augmenter chez les adolescentes. L'adolescence est une période de fragilité nécessitant une prise en charge particulière. Le but de notre travail est d'étudier la situation actuelle de la contraception chez les adolescentes et la place des médecins généralistes. Nous avons pour cela distribué un questionnaire à choix multiples aux lycéennes de terminale de 5 lycéees du Puy-de-Dôme. Nous avons eu 465 réponses. Notre enquête nous a permis de confirmer l'importante utilisation de la contraception par 77,85% des adolescentes. Dans 80% des cas elles utilisent une pilule oetroprogestative (un tiers seulement sont des pilules remboursées par la Sécurité Sociale). Dans 49,04% des cas cette contraception est prescrite par un gynécologue et dans 39,81% des cas par un médecin généraliste. Lorsqu'elles choisissent un médecin généraliste, les adolescentes recherchent en 1er lieu leur médecin de famille en qui elles ont par ailleurs confiance pour respecter le secret médical dans 92% des cas. En revanche, seule la moitié des élèves ont déjà parlé de contraception avec leur médecin généraliste. Malgré les recommandations de L'ANAES, seules 65% des adolescentes ont déjà été reçues seules par leur médecin. Lorsqu'elles sont reçues seules, le sujet de la contraception est plus souvent abordé. Mais les adolescentes indiquent qu'elles ne souhaitent pas que leur médecin demande à leurs parents de sortir ce qui marque toute l'ambiguïté des adolescentes qui sont encore rassurées par la présence de leurs parents mais qui n'osent pas parler librement devant eux. De même, elles se sentent suffisamment informées lors de leur 1ère consultation pour une contraception, alors que seule la moitié d'entre elles ont reçu des informations sur les MST, le préservatif et la pilule du lendemain. De même, moins de 20% sont informées des nouvelles méthodes contraceptives, ce qui explique leur faible diffusion à l'adolescence. Enfin, nous constatons que 5% de ces élèves ont déjà eu une IVG. La participation a été de 70% avec une bonne acceptation de la part des élèves et une liberté d'expression sur ce sujet qui n'est pas toujours retrouvé chez les adultes. Par ailleurs on note que la prévention des IVG aux Pays-Bas où le taux d'IVG est très bas, passe par un réseau d'information développé autour des médecins généralistes. Ceux-ci ont donc une place importante dans la prévention des IVG chez les adolescentes car ils les voient régulièrement et ils ont leur confiance. Néanmoins, il reste encore de nombreux points à améliorer : aborder de manière plus systématique le sujet de la sexualité t de la contraception, reçevoir les adolescents seuls en consultation plus régulièrement, donner plus d'informations lors de la prescription d'une contraception, s'adapter au mode de vie et aux besoins des adolescents en leur proposant tous les types de contraceptifs existants. Pour cela, il faudra également améliorer la formation des futurs médecins généralistes.
Download or read book Office Emergencies written by Marjorie A. Bowman and published by . This book was released on 2003 with total page 420 pages. Available in PDF, EPUB and Kindle. Book excerpt: Inside, you'll find practical information on how to handle the most common emergencies that present in primary care offices and urgent care centers -- whether in person or over the telephone.
Download or read book News from Ethiopia written by and published by . This book was released on 1995 with total page 14 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Queer Theory in Education written by William F. Pinar and published by Routledge. This book was released on 2012-10-02 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: Theoretical studies in curriculum have begun to move into cultural studies--one vibrant and increasingly visible sector of which is queer theory. Queer Theory in Education brings together the most prominent and promising scholars in the field of education--primarily but not exclusively in curriculum--in the first volume on queer theory in education. In his perceptive introduction, the editor outlines queer theory as it is emerging in the field of education, its significance for all scholars and teachers, and its relation to queer theory in literacy theory and more generally, in the humanities.
Download or read book Interprofessional Capability Framework written by HIpE and published by . This book was released on 2011 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Immigrant Entrepreneurs written by Ivan Light and published by Univ of California Press. This book was released on 1991-08-08 with total page 523 pages. Available in PDF, EPUB and Kindle. Book excerpt: A decade in preparation, Immigrant Entrepreneurs offers the most comprehensive case study ever completed of the causes and consequences of immigrant business ownership. Koreans are the most entrepreneurial of America's new immigrants. By the mid-1970s Americans had already become aware that Korean immigrants were opening, buying, and operating numerous business enterprises in major cities. When Koreans flourished in small business, Americans wanted to know how immigrants could find lucrative business opportunities where native-born Americans could not. Somewhat later, when Korean-black conflicts surfaced in a number of cities, Americans also began to fear the implications for intergroup relations of immigrant entrepreneurs who start in the middle rather than at the bottom of the social and economic hierarchy. Nowhere was immigrant enterprise more obvious or impressive than in Los Angeles, the world's largest Korean settlement outside of Korea and America's premier city of small business. Analyzing both the short-run and the long-run causes of Korean entrepreneurship, the authors explain why the Koreans could find, acquire, and operate small business firms more easily than could native-born residents. They also provide a context for distinguishing clashes of culture and clashes of interest which cause black-Korean tensions in cities, and for framing effective policies to minimize the tensions.
Download or read book Anti Gender Campaigns in Europe written by Roman Kuhar and published by Rowman & Littlefield. This book was released on 2017-08-07 with total page 302 pages. Available in PDF, EPUB and Kindle. Book excerpt: This edited collection offers a transnational and comparative approach to understanding anti-gender mobilizations in Europe.
Download or read book Asian Migrants and European Labour Markets written by Ernst Spaan and published by Routledge. This book was released on 2007-04-11 with total page 359 pages. Available in PDF, EPUB and Kindle. Book excerpt: In an era of globalization and demographic transition international migration has become an important issue for European governments. The past decades have seen an increasing and diversifying flow of migrants from different parts of the world, including many from South, Southeast and East Asia. It has become apparent that in several European countries the demand for workers in certain sectors of the labour market is increasing and that Asia has become the source for these workers. This collection explores the phenomenon of Asian immigration in Europe, particularly focusing on the ways in which Asian immigrants gain access to local labour markets. The book includes studies of several countries including Germany, France and the United Kingdom - shedding light on the labour market positions of different ethnic groups within Europe. Asian Migrants and European Labour Markets will interest scholars in the field of labour economics, population and migration studies and international business.
Download or read book Christian Homes written by Tine Van Osselaer and published by Leuven University Press. This book was released on 2014-09-29 with total page 229 pages. Available in PDF, EPUB and Kindle. Book excerpt: Christian ideas on family, religion, and the home in the nineteenth and twentieth centuries The cult of domesticity has often been linked to the privatization of religion and the idealisation of the motherly ideal of the ‘angel in the house’. This book revisits the Christian home of the nineteenth and twentieth centuries and sheds new light on the stereotypical distinction between the private and public spheres and their inhabitants. Emphasizing the importance of patriarchal domesticity during the period and the frequent blurring of boundaries between the Christian home and modern society, the case studies included in this volume call for a more nuanced understanding of nineteenth- and twentieth-century Christian ideas on family, religion, and the home.
Download or read book Urban Governance and Democracy written by Michael Haus and published by Routledge. This book was released on 2004-09-09 with total page 318 pages. Available in PDF, EPUB and Kindle. Book excerpt: The issue of local governance is high on the institutional agenda of many local and regional authorities throughout the OECD countries. This book explores the relationship between two key issues of urban governance - leadership and community involvement - and how making these two elements more complementary can lead to more effective as well as legitimate policy outcomes. The authors examine the dilemmas involved in ensuring effective governance, focusing on issues such as legitimacy, citizen participation, economic performance and social inclusion.
Download or read book De Centering Sexualities written by David Shuttleton and published by Routledge. This book was released on 2000 with total page 311 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book of critical rural geography breaks new ground by drawing attention to sex and sexualities outside the metropolis. It explores sexualities and sexual experiences in a variety of rural and marginal spaces with international contributions from a wide range of disciplines. These include: literary and cultural studies, lesbian and gay studies, geography, history and law. Among the topics uncovered are:* a lesbian in rural England* sexual life in rural Wales* sexuality in rural South Africa * scandal in the American South: sex, race and politics* nature and homosexualit.
Download or read book Ethnic Economies written by Ivan Hubert Light and published by Emerald Group Publishing. This book was released on 2000-01 with total page 302 pages. Available in PDF, EPUB and Kindle. Book excerpt: The phenomenon of increasingly visible groups of immigrant entrepreneurs raises a host of questions. What are the causes of immigrant entrepreneurship? What are its consequences, especially as regards upward mobility and inter-ethnic relations? And what accounts for differences in entrepreneurship among ethnic groups? Ethnic Economies provides a broad overview of ethnicity and entrepreneurship, connecting it with broader studies of economic life.
Download or read book Intrapartum Obstetrics written by John T. Repke and published by . This book was released on 1996 with total page 600 pages. Available in PDF, EPUB and Kindle. Book excerpt: The scope is not simply labor and delivery, but integrated management of patient care in labor and delivery units as they are utilized today. Thirty-four contributed chapters give an overview, followed by discussion of normal labor and delivery management (induction, multiple gestations, malpresentations); labor and delivery as an intensive care unit (tocolysis, preterm labor, asthma, sickle cell disease); controversies (e.g. electronic fetal monitoring, delivery of the very-low-birth-weight infant); and social obstetrics (e.g. medicolegal issues, conflicts between maternal and fetal well-being, perinatal loss). Annotation copyright by Book News, Inc., Portland, OR
Download or read book Lived Religion written by Meredith B McGuire and published by Oxford University Press. This book was released on 2008-08-22 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: How can we grasp the complex religious lives of individuals such as Peter, an ordained Protestant minister who has little attachment to any church but centers his highly committed religious practice on peace-and-justice activism? Or Hannah, a devout Jew whose rich spiritual life revolves around her women's spirituality group and the daily practice of meditative dance? Or Laura, who identifies as Catholic but rarely attends Mass, and engages daily in Buddhist-style meditation at her home altar arranged with symbols of Mexican American popular religion? Diverse religious practices such as these have long baffled scholars, whose research often starts with the assumption that individuals commit, or refuse to commit, to an entire institutionally framed package of beliefs and practices. Meredith McGuire points the way forward toward a new way of understanding religion. She argues that scholars must study religion not as it is defined by religious organizations, but as it is actually lived in people's everyday lives. Drawing on her own extensive fieldwork, as well as recent work by others, McGuire explores the many, seemingly mundane, ways that individuals practice their religions and develop their spiritual lives. By examining the many eclectic and creative practices -- of body, mind, emotion, and spirit -- that have been invisible to researchers, she offers a fuller and more nuanced understanding of contemporary religion.
